Medical Coder
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Job Description
Medical Coder supporting RELI Group’s government healthcare audits through accurate Medicare Part C and risk-adjustment record coding. Maintaining high accuracy, productivity, and PHI confidentiality.
Responsibilities:
- Perform diagnosis coding of inpatient, outpatient, and physician office medical records according to Risk Adjustment/Medicare Part C guidelines
- Perform intake validity checks on each submitted medical record
- Verify acceptable physician specialty, relevant dates of service, physician/practitioner signature, and submitted Attestation
- Record all process information in the system according to contract and organizational guidelines
- Review Senior Coder feedback to improve accuracy and quality
- Enter data accurately into the encoder, system, and other required software
- Follow established processes and procedures
- Report unique record or process issues to the Project Lead, Project Manager, or Project Director
- Maintain security and confidentiality of medical records and Protected Health Information (PHI)
- Meet or exceed the customer/company productivity and accuracy standard of 95% minimum IRR
- Meet company attendance standards
- Interact appropriately with peers, coworkers, contractors, and customers when necessary
- Contribute to a positive team spirit
- Perform other assigned duties and projects
Requirements:
- Minimum of one (1) year of experience in coding general acute hospital (inpatient and outpatient, non-internship) and/or multi-specialty physician office medical records using ICD-9-CM/ICD-10-CM coding guidelines
- Must be a certified coder credentialed by a recognized credentialing institution (AAPC, AHIMA)
- Acceptable certifications: CPC, CCS, RHIA, RHIT
- CRC certification is a plus
- Experience in abstracting and ICD-9/ICD-10 coding preferred
- Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred
- Experience performing medical record coding audits, including complex medical record abstraction
- Ability to work independently and maintain an elevated level of concentration
- Capable of consistency, speed, and accuracy of task
- Ability to read, analyze, and interpret physician documentation
- Ability to communicate clearly and professionally, written and verbal
- Ability to work well in a team environment and collaborate with internal and external team members
- Must be proficient in Microsoft Office Suite
- Ability to plan, prioritize, and execute multiple tasks in a fast-paced environment
- Ability to maintain confidentiality and integrity
Benefits:
- Additional benefits are provided as part of the total compensation package
- Equal Employment Opportunity / Affirmative Action employer
- HUBZone candidates are encouraged to apply
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